Hiki iā ʻoe ke hoʻohana i kāu kelepona paʻalima e kūʻai aku i nā waiwai, kauoha i kahi kaʻa nani, hahai i ka lawe ʻana, nīnauele i nā hana, kauoha i nā meaʻai lawe ʻia, a heluhelu kokoke i nā puke i paʻi ʻia.
Akā, no nā makahiki he nui, hoʻokahi ʻoihana - mālama ola kino - ua hoʻopili nui ʻia i kāna hale kino kuʻuna i ke ʻano kūkākūkā maka-a-maka, ʻoiai no ka mālama maʻamau.
ʻO kahi ʻōlelo hoʻolaha olakino olakino i hoʻokō ʻia ma Indiana a me nā mokuʻāina ʻē aʻe ma mua o hoʻokahi makahiki i koi ai i nā miliona o ka poʻe e noʻonoʻo hou i kā lākou hana ʻana i nā mea āpau, me ke kamaʻilio ʻana me nā kauka.
I loko o kekahi mau mahina wale nō, ua piʻi aʻe ka nui o nā kūkākūkā kelepona a me nā kamepiula i emi iho ma mua o 2% o ka nui o nā koi ʻinikua olakino ma 2019 ma mua o 25 mau manawa, a hiki i kahi kiʻekiʻe ma ʻApelila 2020, helu no 51% o nā koi āpau.
Mai ia manawa, ua emi mālie ka ulu nui o ka telemedicine i nā ʻōnaehana mālama olakino i kahi ākea o 15% a 25%, akā ʻo ia ka piʻi nui o ka helu hoʻokahi mai ka makahiki i hala.
"E noho ʻo ia ma ʻaneʻi," wahi a Kauka Roberto Daroca, he obstetrician a gynecologist ma Muncie a me ka pelekikena o ka Hui Lapaʻau Indiana."A manaʻo wau he mea maikaʻi loa ia no nā maʻi, maikaʻi no nā kauka, a maikaʻi no ka mālama ʻana.ʻO kēia kekahi o nā mea maikaʻi loa e hiki ke hana. "
He nui nā mea aʻoaʻo a me nā luna olakino e wānana i ka piʻi ʻana o ka lāʻau lapaʻau virtual-ʻaʻole wale i ka telemedicine, akā ʻo ka nānā ʻana i ke olakino mamao a me nā ʻano pūnaewele ʻē aʻe o ka ʻoihana mālama olakino-hiki ke alakaʻi i nā pilikia hou aʻe, e like me ka emi ʻana o ka noi no ke keʻena keʻena olakino a me ka piʻi ʻana o ka mobile. nā mea olakino a me nā mea nānā mamao.
Ua ʻōlelo ka ʻAhahui Lapaʻau ʻAmelika e manaʻo ʻia ʻo ka US $ 250 biliona i ka mālama olakino US hiki ke hoʻololi mau ʻia i telemedicine, e helu ana ma kahi o 20% o nā hoʻolimalima o nā ʻoihana ʻinikua a me ke aupuni no nā maʻi maʻi, ke keʻena a me nā kipa olakino ʻohana.
Wahi a ka hui noiʻi ʻo Statistica, e ulu ana ka mākeke honua no ka telemedicine mai 50 biliona US kālā ma 2019 a kokoke i 460 biliona kālā US ma 2030.
Ma ka manawa like, e like me ka ʻikepili mai ka ʻoihana noiʻi ʻo Rock Health, ua hāʻawi nā mea hoʻopukapuka i kahi moʻolelo US $ 6.7 biliona i ke kālā no nā hoʻomaka olakino olakino ma United States i nā mahina ʻekolu o 2021.
ʻO McKinsey a me Co., kahi hui kūkākūkā nui i hoʻokumu ʻia ma New York, i paʻi i kēia poʻomanaʻo paʻakikī i kahi hōʻike i ka makahiki i hala: "ʻO ka ʻoiaʻiʻo o $ 2.5 biliona ma hope o COVID-19?"
Ua wānana ʻo Frost & Sullivan, kahi hui kūkākūkā ʻē aʻe ma San Antonio, Texas, ma 2025, e loaʻa kahi "tsunami" ma telemedicine, me ka piʻi ʻana o ka ulu a hiki i ka 7 manawa.Aia i loko o kāna mau wānana: ʻoi aku ka nui o nā mea hoʻohana a me nā lako diagnostic mamao no ka loaʻa ʻana o nā hopena lapaʻau ʻoi aku ka maikaʻi.
He hoʻololi honua kēia no ka ʻōnaehana mālama ola ʻAmelika.ʻOiai ʻo ka holomua o ka lako polokalamu a me nā hāmeʻa ua hoʻoluliluli i nā ʻoihana ʻē aʻe he nui, e like me nā hale kūʻai hoʻolimalima wikiō, ua hilinaʻi mau ka ʻōnaehana i kāna kumu hoʻohālike kūkākūkā keʻena, kiʻi kiʻiʻoniʻoni, nā kaʻa hoʻolimalima, nā nūpepa, nā mele a me nā puke.
Wahi a kahi koho balota Harris hou, kokoke i 65% o ka poʻe e hoʻolālā e hoʻomau i ka hoʻohana ʻana i ka telemedicine ma hope o ka maʻi maʻi.Ua ʻōlelo ka hapa nui o ka poʻe i noiʻi ʻia e makemake lākou e hoʻohana i ka telemedicine e nīnau i nā nīnau olakino, e nānā i nā hopena lab, a loaʻa i nā lāʻau lapaʻau.
He 18 mau mahina i hala aku nei, ua hoʻohana nā kauka ma Indiana University Health Center, ka ʻōnaehana haukapila nui loa o ka mokuʻāina, i nā smartphones, nā papa, a i ʻole nā kamepiula papapihi e ʻike i ka nui o nā mea maʻi i kēlā me kēia mahina.
"I ka wā ma mua, inā loaʻa iā mākou he 100 mau kipa i ka mahina, e hauʻoli nui mākou," wahi a Kauka Michele Saysana, ka pelekikena hope o ka maikaʻi a me ka palekana ma IU Health.
Eia nō naʻe, ma hope o ke kiaʻāina ʻo Eric Holcomb i haʻi aku i kahi pilikia olakino olakino ma Malaki 2020, pono e noho nā limahana koʻikoʻi ma ka home a me nā miliona o ka poʻe i ninini ʻia.
Ma IU Health, mai ka mālama mua a me ka obstetrics a hiki i ka cardiology a me ka psychiatry, piʻi ka nui o nā kipa telemedicine i kēlā me kēia mahina-mau kaukani mua, a laila ʻumi tausani.
I kēia lā, ʻoiai inā he mau miliona ka poʻe i hoʻopaʻa ʻia a wehe hou ʻia ke kaiāulu, ikaika loa ka telemedicine o IU Health.I kēia manawa ma 2021, ua ʻoi aku ka nui o nā kipa virtual ma mua o 180,000, ʻoi aku ma mua o 30,000 i Mei wale nō.
No ke aha e lōʻihi ai nā kauka a me nā maʻi e kamaʻilio ʻoluʻolu ma o ka hōʻike, ʻoiai he nui nā ʻoihana ʻē aʻe e ʻimi nei e hoʻololi i nā hiʻohiʻona ʻoihana pūnaewele, ʻaʻole maopopo.
Ua hoʻāʻo kekahi poʻe o ka ʻoihana lapaʻau - a i ʻole ka moeʻuhane - e lilo i ʻoi aku ka virtual.No hoʻokahi haneli mau makahiki, ua hoʻoikaika a hoʻoikaika nā alakaʻi ʻoihana e hoʻokō i kēia pahuhopu.
Ua kamaʻilio kekahi ʻatikala ma ka nūpepa olakino Pelekane ʻo The Lancet i ka makahiki 1879 e pili ana i ka hoʻohana ʻana i ke kelepona e hōʻemi i nā kipa keʻena pono ʻole.
I ka makahiki 1906, ua paʻi ka mea nāna i hana i ka electrocardiogram i kahi pepa ma ka "electrocardiogram," e hoʻohana ana i nā laina kelepona e hoʻouna i nā puʻupuʻu mai ka hana puʻuwai o ka mea maʻi i ke kauka he mau mile ka mamao.
Wahi a ka National Center for Biotechnology and Medicine, i ka makahiki 1925, ua hōʻike ka uhi o ka puke "Science and Invention" i ke kauka nāna i ʻike i ka mea maʻi ma o ka lekiō a manaʻo i kahi mea hiki ke hana i nā hoʻokolohua wikiō ma luna o nā maʻi he mau mile mai ke keʻena..
Akā no nā makahiki he nui, ua ʻokoʻa nā kipa virtual, me ka aneane ʻaʻole kākau inoa ma ka ʻōnaehana olakino o ka ʻāina.Ke koi nei nā ikaika o ka maʻi maʻi i nā ʻōnaehana e hoʻohana i ka ʻenehana i nā ʻano ākea.I ka Community Health Network, i ka wā ʻino loa o ka maʻi maʻi, ma kahi o 75% o nā kipa outpatient e nā kauka i mālama ʻia ma ka pūnaewele.
"Inā ʻaʻohe maʻi maʻi, manaʻo wau ʻaʻole e loli ka nui o nā mea lawelawe," wahi a Hoy Gavin, ka luna hoʻokele o Community Health Telemedicine."ʻAʻole e loli koke nā poʻe ʻē aʻe."
Ma Ascension St. Vincent, ka lua o ka ʻōnaehana olakino nui loa o ka mokuʻāina, mai ka hoʻomaka ʻana o ka maʻi maʻi, ua piʻi ka nui o nā kipa telemedicine mai ka liʻiliʻi ma mua o 1,000 i ka makahiki 2019 a hiki i 225,000, a laila hāʻule i ka 10% o nā kipa āpau i kēia lā e pili ana.
Ua ʻōlelo ʻo Kauka Aaron Shoemaker, ka luna lapaʻau nui o Ascension Medical Group ma Indiana, i kēia manawa, no nā kauka he nui, nā kahu hānai a me nā maʻi, he ala ʻē aʻe kēia e hoʻopili ai.
"E lilo ia i mea hana maoli, he ala ʻē aʻe e nānā ai i nā maʻi," wahi āna."Hiki iā ʻoe ke hele e hālāwai me kekahi kanaka mai kahi lumi, a laila ʻo ke keʻena aʻe he kipa virtual.ʻO kēia ka mea a mākou i maʻa mau ai. "
Ma Franciscan Health, mālama ʻia ka mālama virtual no 80% o nā kipa āpau i ka pūnāwai o 2020, a laila hāʻule hou i kēia lā 15% a 20%.
Ua ʻōlelo ʻo Kauka Paul Driscoll, ka luna lapaʻau koʻikoʻi o ka Franciscan Physician Network, ʻoi aku ka kiʻekiʻe o ka nui o ka mālama mua (25% a 30%), ʻoiai ʻoi aku ka kiʻekiʻe o ka psychiatry a me nā mālama olakino ʻē aʻe (ma luna o 50%). .
"Ke hopohopo nei kekahi poʻe e makaʻu ka poʻe i kēia ʻenehana a ʻaʻole makemake lākou e hana," wahi āna."Akā ʻaʻole kēia ka hihia.ʻOi aku ka maʻalahi o ka mea maʻi ʻaʻole pono e hoʻokele i ke keʻena.Mai ka manaʻo o ke kauka, maʻalahi ka hoʻonohonoho ʻana i kekahi kanaka me ka wikiwiki.
Ua hoʻohui ʻo ia: "ʻOiaʻiʻo, ua ʻike mākou ua mālama mākou i ke kālā.Inā hiki iā mākou ke hoʻomau me 25% mālama virtual, pono paha mākou e hōʻemi i ka wahi kino e 20% a 25% i ka wā e hiki mai ana.
Akā ua ʻōlelo kekahi mau mea hoʻomohala ʻaʻole lākou i manaʻo ua hoʻoweliweli nui ʻia kā lākou ʻoihana.Ua ʻōlelo ʻo Tag Birge, ka pelekikena o Cornerstone Cos. Inc., kahi hui waiwai ʻo Indianapolis, ʻaʻole ia e manaʻo i nā hana lapaʻau e hoʻomaka i ka hāʻawi ʻana i nā kaukani kapuaʻi square o ke keʻena a me nā wahi keʻena.
"Inā loaʻa iā ʻoe nā lumi hoʻāʻo 12, hiki paha iā ʻoe ke hōʻemi i hoʻokahi, inā manaʻo ʻoe hiki iā ʻoe ke hana i ka 5% a i ʻole 10% telemedicine," wahi āna.
Ua hui ʻo Kauka William Bennett me kahi maʻi 4 makahiki a me kona makuahine ma o ka ʻōnaehana telemedicine o IU Health.(Kiʻi waihona IBJ)
Wahi a kekahi poʻe loea, ʻo ka moʻolelo liʻiliʻi e pili ana i ka lāʻau lapaʻau virtual ʻo ia kāna ʻōlelo hoʻohiki e hāʻawi i ka mālama holoʻokoʻa, a i ʻole ka hiki o kahi pūʻulu o nā mea hoʻolako e ʻākoakoa e kūkākūkā i ke kūlana o ka mea maʻi a hāʻawi i ka mālama ʻana me nā poʻe akamai i kahi kahua kūikawā (i kekahi manawa me nā haneli kauka. ).Mile ka mamao.
"ʻO kēia kahi aʻu e ʻike ai i ka telemedicine he hopena nui loa," wahi a Brian Tabor, ka pelekikena o ka Indiana Hospital Association.
ʻO ka ʻoiaʻiʻo, ua hoʻohana mua kekahi o nā kauka haukapila o Franciscan Health i ka hālāwai kūkā wikiō i nā pōʻai maʻi.I mea e hōʻemi ai i ka ʻike ʻia ʻana o ka maʻi COVID-19, ua hoʻokumu lākou i kahi kaʻina hana e hiki ai i hoʻokahi kauka ke komo i loko o ka lumi o ka mea maʻi, akā me ke kōkua o ka papa a i ʻole ka pona, hiki i nā kauka ʻeono ke hālāwai e kamaʻilio me ka mea maʻi a kūkākūkā e pili ana i ka mālama.
Ma kēia ala, ʻo nā kauka e ʻike maʻamau i ke kauka ma nā hui, a ʻike i ke kauka i nā manawa a pau i ka lā, ʻike koke i ke kūlana o ka mea maʻi a kamaʻilio i ka manawa maoli.
Ua ʻōlelo ʻo Dr. Atul Chugh, he cardiologist mai ka Franciscans: "No laila, loaʻa iā mākou ka manawa kūpono e nānā i nā maʻi a hoʻoholo i nā hoʻoholo koʻikoʻi no lākou me nā loea i koi ʻia ma ka lima."
Ma muli o nā kumu like ʻole, ke ulu nei ka lāʻau lapaʻau virtual.Ua hoʻomaha nā mokuʻāina he nui i nā palapala kauoha pūnaewele.Ua hoʻoholo ʻo Indiana i ke kānāwai i ka makahiki 2016 e hiki ai i nā kauka, nā mea kōkua kauka, a me nā kahu hānai ke hoʻohana i nā kamepiula a i ʻole nā polokalamu e kuhikuhi i ka lāʻau lapaʻau.
Ma ke ʻano he ʻāpana o ka "Coronavirus Prevention and Response Supplementary Appropriations Act," ua hoʻokuʻu ke aupuni federal i kekahi mau kānāwai telemedicine.Hoʻokuʻu ʻia ka hapa nui o nā koi ʻinikua olakino, a hiki i ka poʻe loaʻa ke loaʻa ka mālama mamao ma kahi o ko lākou wahi e noho ai.ʻAe ka neʻe ʻana i nā kauka e uku i ka ʻinikua olakino ma ka helu like me nā lawelawe maka-a-maka.
Eia kekahi, ua hoʻoholo ka ʻAha Mokuʻāina ʻo Indiana i kahi bila i kēia makahiki i hoʻonui nui i ka helu o nā loea laikini hiki ke hoʻohana i nā lawelawe hoʻihoʻi telemedicine.Ma waho aʻe o nā kauka, ʻo ka papa inoa hou pū kekahi psychologists, licensed clinical social workers, occupational therapists, etc.
ʻO kekahi hana nui a ke aupuni Holcomb i hoʻoneʻe i nā mea ʻē aʻe.I ka wā ma mua ma lalo o ka papahana Indiana Medicaid, e uku hou i ka telemedicine, pono e hana ʻia ma waena o nā wahi i ʻae ʻia, e like me ka haukapila a me ke keʻena kauka.
"Ma lalo o ka papahana Medicaid o Indiana, ʻaʻole hiki iā ʻoe ke hāʻawi i nā lawelawe telemedicine i nā home o nā maʻi," wahi a Tabor.“Ua loli ke kūlana a mahalo nui au i ka hui o ke kiaʻāina.Ua kāpae lākou i kēia noi a ua hana. "
Eia kekahi, ua hoʻemi a hoʻopau paha nā ʻoihana ʻinikua ʻoihana he nui no ka telemedicine a hoʻonui i nā mea lawelawe telemedicine i loko o ka pūnaewele.
Wahi a kekahi mau kauka, hiki i nā kipa telemedicine ke wikiwiki i ka maʻi a me ka mālama ʻana, no ka mea, hiki i nā poʻe maʻi e noho mamao ana mai ke kauka ke hiki ke loaʻa wikiwiki i kahi mamao mamao ma mua o ke kali ʻana i ka hapalua lā hoʻomaha ke manuahi kā lākou kalena.
Eia kekahi, pono e hoʻonohonoho kekahi mau maʻi ʻelemakule a me nā maʻi maʻi i kahi kaʻa e haʻalele ai i ka home, ʻo ia kekahi manawa he kumu kūʻai hou no ka lāʻau lapaʻau pipiʻi.
ʻIke loa, no ka poʻe maʻi, ʻo ka pōmaikaʻi nui ka maʻalahi, me ka ʻole o ka holo ʻana ma ke kaona a hiki i ke keʻena o ke kauka, a me ka ʻole o ke kau ʻana ma ka lumi kali me ka pau ʻole.Hiki iā lākou ke komo i loko o ka polokalamu olakino a kali i ke kauka i loko o ko lākou lumi hoʻokipa a i ʻole ka lumi kuke i ka hana ʻana i nā mea ʻē aʻe.
Ka manawa hoʻouna: Iune-18-2021